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General NPI Number Information
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NPI Number | 1285711457
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Entity Type | Organization
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Legal Business Name | TP FAMILY ASSOCIATES
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 4364 HIGHWAY 51 S
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City | SENATOBIA
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State | MS
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Zip | 38668-2534
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Country | US
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Telephone | 662-562-7503
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Fax | 662-562-0026
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Provider Business Mailing Address
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Address Line | 4364 HIGHWAY 51 S
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City | SENATOBIA
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State | MS
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Zip | 38668-2534
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Country | US
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Telephone | 662-562-7503
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Fax | 662-562-0026
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Authorized Official
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Title or Position | PHYSCIAN/OWNER
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Name | DR. THOMAS W GRAFTON SR.
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Credential | D.O.
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Telephone | 662-562-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12613
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License Number State | MS
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